Consultant Pharmacist Certificate Program for Initial Licensure

Summary

This module will provide an introduction to consultant pharmacy in the state of Florida. Module content will also define the regulatory authorities pertaining to consultant pharmacy, explain the requirements for consultant pharmacy licensure in the state of Florida, as well as review methods to stay up-to-date with changes in regulations. 

To Do

1. Watch Lecture 1.1.
2. Review the Required Reading.
3. Review the Supplemental Reading.
4. Complete the corresponding Assessment.

Slides

• Lecture 1.1: A Guide to Regulatory Authorities, Facility Permits, & Licensure Requirements (1-103)

Speakers

Michele S Smith Pharm.D., C.Ph.

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Discuss state of Florida and federal regulatory authorities pertaining to institutional pharmacy and health care facilities.
   
2. Differentiate permit requirements for specific pharmacy environments.
   
3. Explain requirements for consultant pharmacist licensure in the state of Florida.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 15 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Florida Statutes

Chapter 465.019 Institutional pharmacies; permits. 

Chapter 465.022 Pharmacies; general requirements; fees.

Florida Administrative Code

Rule: 64B16-28.100 Pharmacy Permits - Applications and Permitting

Rule: 64B16-26.300 Consultant Pharmacist Licensure

Rule: 64B16-26.301 Subject Matter for Consultant Pharmacist Course

Florida Statutes

Chapter 465 Pharmacy

Summary

This module will review state and federal accreditation standards that impact consultant pharmacists in long-term care settings. Program content will also highlight the professional responsibilities and administrative roles of the consultant pharmacist in the long-term care setting as well as outline the policies and procedures required for long-term care facilities to help prepare facilities for successful surveys. Learners will have the opportunity to apply the content learned in the context of a case scenario.

To Do

1. Watch Lectures 2.1-2.5.
2. Review the Supplemental Reading.
3. Complete each corresponding Assessment.
4. Complete the Case Study Assessment.

Slides

• Lecture 2.1: Nursing Home Accreditation Standards (1-66)
• Lecture 2.2: Overview of Long-Term Care Policies & Procedures (67-114)
• Lecture 2.3: Professional Responsibilities of a Consultant Pharmacist in the Long-Term Care Setting (115-167)
• Lecture 2.4: Administrative Roles of a Consultant Pharmacist in the Long-Term Care Setting (168-216)
• Lecture 2.5: Preparing Facilities for Surveys (217-256)

Speakers

Michele S Smith Pharm.D., C.Ph.

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Contrast state and federal requirements that impact consultant pharmacy in a nursing home setting.
2. Discuss Quality Indicators and the Beers Criteria.
3. Provide an overview of CMS Interpretive Guidelines with regard to Pharmaceutical Services, MRR, Unnecessary drugs.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 10 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Michele S Smith Pharm.D., C.Ph.

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Outline policy and procedures for medication use systems.
2. Outline policy for routine and emergency use of drugs, as well as afterhours dispensing and drug shortage management.
3. Describe record keeping and reporting required for long term care facilities.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 15 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Michele S Smith Pharm.D., C.Ph.

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Describe the primary and secondary responsibilities of a consultant pharmacist in the long-term care setting.
2. Discuss the Federal Indicators used in performing a Medication Regimen Review.
3. Apply Beers Criteria to long-term care practice.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 15 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Joshua Pullo Pharm.D., C.Ph.

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Describe an overview of the administrative duties of the consultant pharmacist in the long-term care environment.
2. Discuss the role of the consultant in medication use/management and fiscal control.
3. Explain how effectively communication is necessary for coordinating medication related issues.
4. Discuss the consultant's role on the health care team (Inter- and Intra-professional relationships, including staff in-servicing).
5. Describe the role of technology for the consultant in long-term care practice.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 10 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Joshua Pullo Pharm.D., C.Ph.

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Discuss state of Florida and federal regulatory authorities pertaining to institutional pharmacy and health care facilities.
2. Differentiate permit requirements for specific pharmacy environments.
3. Explain requirements for consultant pharmacist licensure in the state of Florida.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 10 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Nursing Home Accreditation Standards

Medicare State Operations Manual

Appendix PP – Guidance to Surveyors for Long-Term Care Facilities

Federal regulatory Group Listings (F-Tags)

FAQs Related to LTC Regulations, Survey Process, and Training

Minimum Data Set (MDS) – Version 3.0 Resident Assessment and Care Screening

Nursing Home Compare

American Geriatrics Society – Beers Criteria

Information on Beers Criteria

Long-Term Care Policies & Procedures

A Systematic Approach to Consultant Pharmacy Services: Policies and Procedures

State Operations Manual, Appendix PP – Guidance to Surveyors for Long-Term Care Facilities, Section 483.45

A Systematic Approach to Consultant Pharmacy Services: Overview of Consultant Responsibilities

Summary

This module will review state and federal accreditation standards that impact consultant pharmacists in the hospital settings. Program content will also highlight the professional responsibilities and administrative roles of the consultant pharmacist in the hospital setting as well as outline the policies and procedures for safe medication use, administration, and storage in the hospital setting.

To Do

1. Watch Lectures 3.1-3.5.
2. Review the Supplemental Reading.
3. Complete each corresponding Assessment.
4. Complete the Case Study Assessment.

Slides

• Lecture 3.1: Hospital Accreditation Standards (pp. 1-19)
• Lecture 3.2: Overview of the Hospital Systems Policies & Procedures (pp. 20-38)
• Lecture 3.3: Professional Responsibilities of a Consultant Pharmacist in the Hospital System (pp. 39-62)
• Lecture 3.4: Administrative Roles of a Consultant Pharmacist in the Hospital System (pp. 63-78)
• Lecture 3.5: Nuclear Pharmacy (pp. 79-86)

Speakers

Tracy E Leonard R.Ph., BCPP, BCACP, CDCES, C.Ph.

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Discuss The Joint Commission, Det Norske Veritas, ISMP, ASHP, and their role in maintaining standards of practice.
2. Understand the standards of practice and best practices for hospital accreditation (Medication Management standards).
3. Understand the hospital accreditation process and Joint Commission survey process.
4. Discuss the process of Continuous Survey Readiness.
5. Discuss the standards of sterile product compounding and regulations (USP 797, USP 800, FDA, FL Regulations/SOP, TJC, CMS).

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 10 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

John M Allen Pharm.D., BCPS, BCCCP, FCCM, FCCP

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Outline hospital policies and procedures for writing medication orders, administration of vaccines, use of standard orders, and physician approved protocols.
2. Understand policy and procedures for medication use, storage and safety in the hospital.
3. Outline policy for routine and emergency use of drugs, as well as after hours dispensing and drug shortage management.
4. Describe the record keeping and reporting required for medication use in a hospital setting.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 12 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Tracy E Leonard R.Ph., BCPP, BCACP, CDCES, C.Ph.

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Describe the primary and secondary responsibilities of a consultant pharmacist in the long-term care setting.
2. Discuss the Federal Indicators used in performing a Medication Regimen Review.
3. Apply Beers Criteria to long-term care practice.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 10 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

John M Allen Pharm.D., BCPS, BCCCP, FCCM, FCCP

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Describe an overview of the administrative duties of the consultant pharmacist in the long-term care environment.
2. Discuss the role of the consultant in medication use/management and fiscal control.
3. Explain how effectively communication is necessary for coordinating medication related issues.
4. Discuss the consultant's role on the health care team (Inter- and Intra-professional relationships, including staff in-servicing).
5. Describe the role of technology for the consultant in long-term care practice.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 10 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Janet Schmittgen Pharm.D.

 Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Discuss nuclear pharmacy best practices in the preparation of radiopharmaceutical medication.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 3 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Hospital Accreditation Standards

Rule: 64B16-27.797 The Standards of Practice for Compounding Sterile Products

USP - 700 Pharmaceutical Compounding—Sterile Preparations

State of Florida DOH Investigative Services INV797-Sterile Compounding

USP - 797 Appendix III

USP - 797 Appendix IV

USP - 800 Hazardous Drugs—Handling in Healthcare Settings

Professional Responsibilities of a Consultant Pharmacist in the Hospital System

State of Florida DOH Investigative Services INV 361-Class II & III Institutional Pharmacy

Rule: 64B16-27.300 Standards of Practice - Continuous Quality Improvement Program

Rule: 64B16-27.420 Pharmacy Technician - Delegable and Non-Delegable Tasks

Summary

This module will explore two ways in which pharmacists can expand their scope of practice in the state of Florida: the Collaborative Practice Agreement (CPA) Certification and the Test and Treat Certification. Program content will also discuss the opportunities for pharmacists practicing under a CPA or using point-of-care testing in the pharmacy setting, the benefits and potential drawbacks of each, and strategies to support efficient documentation and communication with patients and physicians in order to implement these services.

To Do

1. Watch Lectures 4.1-4.5.
2. Review the Supplemental Reading.
3. Complete each corresponding Assessment.

Slides

• Lecture 4.1: Collaborative Practice in the State of Florida (pp. 1-6)
• Lecture 4.2: Collaborative Practice Agreements (pp. 7-18)
• Lecture 4.3: Collaborative Practice Agreements Guided Case Questions (pp. 19-26)
• Lecture 4.4: Test and Treat Certification (pp. 27-40)
• Lecture 4.5: Collaboration, Documentation and Communication Skills (pp. 41-54)

Speakers

Gary Cacciatore Pharm.D., J.D.

Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Define a pharmacist collaborative practice agreement as outlined in Chapter 64B16-31.005.
2. Review requirements outlined by Chapter 465 for a pharmacist to enter into a Collaborative Practice Agreement.
3. Review mandatory continuing education requirements required by the Florida Board of Pharmacy for pharmacists to enter not a Collaborative Practice Agreement.
4. Summarize initial and ongoing legal and practice requirements pharmacists must meet to practice under a Collaborative Practice Agreement.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 5 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Eric A Dietrich Pharm.D., BCACP, CPC-A, CEMC, CPB

Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Define collaborative practice agreement (CPA).
2. Describe the benefits of practicing under a CPA.
3. Identify potential drawbacks of a CPA.
4. Identify potential barriers to implementation of a CPA.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 6 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Eric A Dietrich Pharm.D., BCACP, CPC-A, CEMC, CPB

Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Present two cases where CPAs may be implemented.
2. Discuss steps necessary to implement the CPA.
3. Discuss potential pitfalls with implementing the CPA.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

Speakers

Jessica C Huston Pharm.D.

Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Describe the role of pharmacists and feedback from the general public and public health representatives on expanded roles for pharmacists.
2. Identify opportunities for pharmacists to use point-of-care testing (POCT) under an established protocol in pharmacy practice.
3. Describe research findings regarding pharmacists’ use of POCT to test and treat minor nonchronic conditions such as influenza and Group A Streptococcus.
4. Summarize Florida law and pharmacist requirements for testing or screening for and treating minor, nonchronic health conditions under protocol.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 5 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Gary Cacciatore Pharm.D., J.D.

Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Summarize Florida law and other related requirements for communicating with patients.
2. Identify strategies or systems to support efficient documentation and communication with patients and physicians.
3. Establish a process to provide a written notice and to include signage within the pharmacy for the patient to seek follow-up care with a physician.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 15 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Collaborative Practice Agreements

Advancing Team-Based Care Through Collaborative Practice Agreements

Florida Pharmacist Collaborative Practice Certification

Chapter 64B16-31 (Rule No. 001-009) Collaborative Practice and Test and Treat Certifications

Test and Treat

Florida Pharmacist Test and Treat Certification

Summary

This module will highlight the practical day-today tasks of consultant pharmacist in a variety of practice settings including performing Medication Regimen Reviews. Program content will also provide patient interview and interprofessional communication techniques. Learners will have the opportunity to apply the content learned in the context of a case scenario.

To Do

1. Watch Lectures 5.1-5.5.
2. Review the Supplemental Reading.
3. Complete each corresponding Assessment.

Slides

• Lecture 5.1: Examples of a "Not so Typical Day" as a Consultant Pharmacist (pp. 1-11)
• Lecture 5.2: Medication Regimen Review and Practice (pp. 12-28)
• Lecture 5.3: Patient Interviewing - Components (pp. 29-50)
• Lecture 5.4: Patient Interviewing - Documentation (pp. 51-71)
• Lecture 5.5: Patient Interviewing - Techniques (pp. 72-101)

Speakers

Michele S Smith Pharm.D., C.Ph.

Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Describe a not so typical day of consulting pharmacy in a variety of practice settings.
2. Identify methods of problem solving as a consultant pharmacist in specific practice environments.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 5 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Michele S Smith Pharm.D., C.Ph.

Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Describe rationale of the Medication Regimen Review in the care process for long-term care residents.
2. Perform a Medication Regimen Review.
3. Communicate Medication Regimen Review findings to prescribers.

Presentation & Assessment

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 10 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Joshua Pullo Pharm.D., C.Ph.

Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Understand the different types of information (subjective and objective) that a pharmacist can collect in an interview.
2. Identify different practice settings that would require collection of data from a patient.
3. Collect basic subjective and objective information from the patient including medications, allergies/adverse reactions, and disease, by interviewing the patient and by gathering data from patient interviews.
4. Interpret patient data to identify basic drug-related (e.g. non-adherence, drug allergy, or wrong indication for a drug) or health/wellness-related problems to develop.

Presentation & Assessment

Note: The lecture content below is from the Pharm.D. curriculum and has been included as it is relevant to consultant pharmacy. The lecture provides a review of important knowledge and skills for the patient interview process. References to skills lab, handouts, and external assignments may be disregarded.

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 5 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Joshua Pullo Pharm.D., C.Ph.

Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Document basic subjective and objective information from the patient including medications, allergies/adverse reactions, and disease, by interviewing the patient and by gathering data from patient interviews.
2. Demonstrate professional behaviors by effectively responding to patient’s needs and concerns in an organized and logical manner.

Presentation & Assessment

Note: The lecture content below is from the Pharm.D. curriculum and has been included as it is relevant to consultant pharmacy. The lecture provides a review of important knowledge and skills for the patient interview process. References to skills lab, handouts, and external assignments may be disregarded.

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 5 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Speakers

Joshua Pullo Pharm.D., C.Ph.

Lecture Objectives

Upon completion of this lecture, you should be able to:

1. Describe different techniques that can help with patient interviewing.
2. Identify when to use open-ended and closed-ended questions in an interview.
3. Know the different types of empathy and be able to provide corresponding statements.
4. Utilize SCHOLARMAC as a patient interviewing technique and understand it’s components.

Presentation & Assessment

Note: The lecture content below is from the Pharm.D. curriculum and has been included as it is relevant to consultant pharmacy. The lecture provides a review of important knowledge and skills for the patient interview process. References to skills lab, handouts, and external assignments may be disregarded.

Please allow up to 30 seconds for the video to load.

After reviewing the lecture, complete the assessment. You must pass the assessment with a 70% or higher to receive credit for this course. This assessment consists of 5 multiple choice questions and is untimed. Questions are displayed one at time, you will not be able to review or change previous answers. Once you begin the assessment, you must complete it in one sitting. You will have three attempts to pass the assessment.

Medication Regimen Review

Nursing Care Center: 2024 National Patient Safety Goals

Pharmacist-initiated treatment of minor conditions: A call to action

State Operations Manual Appendix PP - Guidance to Surveyors for Long Term Care Facilities